Organization
PATTY JOHNSON'S ACUPUNCTURE AND HERBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATTY JO JOHNSON L.AC. (OWNER)
(909) 989-3223
Entity
Organization
Contact information
Practice address
8645 HAVEN AVE STE 550, RANCHO CUCAMONGA, CA 91730-4865
(909) 989-3223
(909) 989-4430
Mailing address
8645 HAVEN AVE STE 550, RANCHO CUCAMONGA, CA 91730-4865
(909) 989-3223
(909) 989-4430
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC 8096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1030692
AMERICAN SPECIALTY HEALTH
CA
Enumeration date
07/17/2015
Last updated
07/17/2015
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